2011
DOI: 10.1289/ehp.1003241
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Climate Extremes and the Length of Gestation

Abstract: Background: Although future climate is predicted to have more extreme heat conditions, the available evidence on the impact of these conditions on pregnancy length is very scarce and inconclusive.Objectives: We investigated the impact of maternal short-term exposure to extreme ambient heat on the length of pregnancy.Methods: This study was based on a cohort of births that occurred in a major university hospital in Barcelona during 2001–2005. Three indicators of extreme heat conditions based on 1-day exposure t… Show more

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Cited by 88 publications
(57 citation statements)
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“…[13][14][15]22,23,[36][37][38] Our results are consistent to some extent with the findings of most previous studies, which showed that higher ambient temperature, especially extreme hot weather, might shorten the gestational age or result in preterm birth. 13,14,22,23,36,37 A recent study based on a birth cohort in Barcelona defined an extreme heat event when the heat index (HI) exceeded the 90th, 95th, and 99th percentiles of heat indices, and found a small reduction (0.2 day) in the average length of gestation when the HI on the day of delivery exceeded the 95th percentile (HI 95 30.5°C). 22 A survival analysis in Brisbane also found that exposure to high temperatures during the last gestational week was associated with an increase of the risk of preterm birth.…”
Section: Discussionsupporting
confidence: 92%
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“…[13][14][15]22,23,[36][37][38] Our results are consistent to some extent with the findings of most previous studies, which showed that higher ambient temperature, especially extreme hot weather, might shorten the gestational age or result in preterm birth. 13,14,22,23,36,37 A recent study based on a birth cohort in Barcelona defined an extreme heat event when the heat index (HI) exceeded the 90th, 95th, and 99th percentiles of heat indices, and found a small reduction (0.2 day) in the average length of gestation when the HI on the day of delivery exceeded the 95th percentile (HI 95 30.5°C). 22 A survival analysis in Brisbane also found that exposure to high temperatures during the last gestational week was associated with an increase of the risk of preterm birth.…”
Section: Discussionsupporting
confidence: 92%
“…13,14,22,23,36,37 A recent study based on a birth cohort in Barcelona defined an extreme heat event when the heat index (HI) exceeded the 90th, 95th, and 99th percentiles of heat indices, and found a small reduction (0.2 day) in the average length of gestation when the HI on the day of delivery exceeded the 95th percentile (HI 95 30.5°C). 22 A survival analysis in Brisbane also found that exposure to high temperatures during the last gestational week was associated with an increase of the risk of preterm birth. 13 In this study, we identified heatwave as a period in which the daily maximum temperatures exceeded certain percentiles of the temperature distribution for two or more consecutive days.…”
Section: Discussionmentioning
confidence: 99%
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“…Temperature shocks may cause fetal losses and preterm births Dadvand et al, 2011;Strand et al, 2011). Although a number of experimental studies have shown that high temperatures affect reproduction in animals, the evidence for humans comes mostly from observations on seasonal relationships and could be biased by other seasonal factors.…”
Section: IImentioning
confidence: 99%
“…Hashizume et al (2009) find that perinatal mortality sharply increases with low temperatures. Dadvand et al (2011) conclude that extreme heat was associated with a reduction in the average gestational age of children, which is associated with perinatal mortality and morbidity. Burgess et al (2011) show that weather extremes appear to increase infant mortality in rural India, but not in urban areas.…”
Section: The Physiology Channelmentioning
confidence: 87%